Karjoo, M., Koop, C. E., Cornfeld, D., and Holtzapple, P. G. (1973). Archives ofDisease in Childhood, 48, 143. Pancreatic exocrine enzyme deficiency associated with asphyxiating thoracic dystrophy. Asphyxiating thoracic dystrophy, a constrictive thoracic chondrodystrophy present at birth, is associated with tachypnoea, recurrent pulmonary infections, and failure to thrive. In our patient, a suc...

In this paper we discuss a case of duodenal perforation resulting in subcutaneous emphysema, left-sided pneumothorax, pneumomediastinum and pneumoperitoneum. Duodenal perforation is a rare, but serious complication of endoscopic retrograde cholangiopancreatography (ERCP). Signs indicating perforation include agitation, tachypnoea, dyspnoea, subcutaneous emphysema or hypoxaemia. Diagnosis can be...

Tracheal resection and primary anastomosis is the treatment of choice for a short-segment stenosis. However, the procedure does carry the risk of two potentially fatal complications: Anastomotic breakdown and anastomotic leak. We describe a case of 24-year-old man who was treated for a 4 to 5 cm tracheal stenosis secondary to a prolonged intubation and tracheostomy after organophosphorus poisio...

Pine processionary, Thaumetopoea pityocampa Denis and Schiffermüller, 1775 is a moth that belongs to the order of insects Lepidoptera, and family Notodontidae. The larvae of pine processionary moth are the main pest of pines all over the world, but mainly in Mediterranean region. The contact with pine processionary caterpillar (lepidopterism) can produce a strong inflammatory reaction on skin a...

In 1960 Wilson and Mikity described a new form of respiratory disease in seven premature infants. In these infants the disease developed insidiously a few days or a few weeks after birth and was characterized by marked cyanosis, tachypnoea, exertional dyspnoea, wheezing, and coughing. All patients showed distinctive radiological changes. Clinical recovery always preceded resolution of the radio...

Questions: In adults with an acute exacerbation of chronic obstructive pulmonary disease (COPD) receiving non-invasive positive pressure ventilation (NIV), is intrapulmonary percussive ventilation (IPV) feasible? Does IPV improve outcomes compared to manual airway clearance techniques? Design: Randomised, controlled trial with concealed allocation. Setting: Intensive care unit of a tertiary hos...

Clinical and haematological findings at the nadir of the refractory, early anaemia of prematurity were compared in a study of 95 preterm infants. 53% of 30 babies less than 32 weeks' gestational age at birth had abnormal clinical features resulting from anaemia at its nadir, with a combination of tachycardia, tachypnoea, dyspnoea and feeding difficulties, diminished activity, and pallor. The ex...

Fifteen patients with right-sided infective endocarditis during a 5 year period (1985-1990) were retrospectively reviewed. Isolated tricuspid valve involvement occurred in nine patients. Staphylococcus aureus was the causative organism in seven cases; four were culture negative. The diagnosis was established by two-dimensional echocardiography in 11 patients and at postmortem in the remaining f...

A 15 year-old grey Thoroughbred gelding presented for investigation of chronic weight loss and recent onset of respiratory difficulty. Clinical examination confirmed tachypnoea with increased respiratory effort. Thoracic ultrasound examination detected pleural effusion. The dyspnoea was related to the large volume of pleural effusion and, following post-mortem examination, to the presence of a ...

Mast cells were identified by electronmicroscopy in the alveolar wall of the lung in 20 subjects (10 normal, 10 abnormal). A quantitative and qualitative study was made of the mast cells. In the normal lung there was an average concentration of 350 mast cells/mm2 of alveolar wall and in the abnormal 523/mm2. Mast cells occupied approximately 1.6-2.1% of the area of the alveolar wall. There was ...